Commonwealth Primary Care, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMONWEALTH PRIMARY CARE, P.C.

Practice address

805 N Richmond St
Fleetwood, PA 19522-1031

Phone

(610) 944-0464

NPI assigned

Sep 19, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Hippert, DO

Title

Head Physician

Phone

(610) 944-0464

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346235041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MERIDIAN BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103202",
            "telephone_number": "610-372-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N RICHMOND ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221031",
            "telephone_number": "610-944-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIPPERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "HEAD PHYSICIAN",
        "authorized_official_telephone_number": "610-944-0464",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "488455",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03009300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CI9844",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Campbell
• Erin E Carter, MSW, LSW
• Nishant Rajeshbhai Chovatiya, DMD, MS, BDS
• Lori Lee Christman
• Commonwealth Primare Care, PC
• Concern-Professional Services for Children, Youth & Families
• Concern-Professional Services for Children, Youth & Families
• Concern-Professional Services for Children, Youth & Families
• Concern-Professional Services for Children, Youth & Families
• Concern-Professional Services for Children, Youth & Families

• Family Medicine Physician in Fleetwood, PA
• Providers in Fleetwood, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.